Multivitamin pill aspiration leading to hemorrhagic bronchial necrosis

This article highlights the serious but reversible effects of multivitamin pill aspiration into the lungs. If diagnosed early and treated promptly the harmful effects of the pill constituents on the lungs and airways can be attenuated. An early bronchoscopy and a high index of suspicion is required in order not to miss these events. We have described a case of multivitamin pill aspiration in a young healthy male and the good response to early intervention.
Source: Respiratory Medicine Case Reports - Category: Respiratory Medicine Source Type: research

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ConclusionIn immunosuppressed patients, FB and BAL should be evaluated early for clarifying the causative agents. Then, appropriate treatments can be utilized and the side effects and high cost of unnecessary treatment may be mitigated.
Source: The Clinical Respiratory Journal - Category: Respiratory Medicine Authors: Tags: ORIGINAL ARTICLE Source Type: research
We report a 68-year-old woman with a longstanding history of chronic plaque psoriasis, treated with the tumor necrosis factor (TNF) inhibitor, adalimumab. After 8 years of treatment, she developed a gradual-onset, non-productive cough with associated generalized fatigue and mild dyspnea. Radiological investigations demonstrated ground-glass opacities in the left lower lobe and bronchoscopy revealed a fibroinflammatory process consistent with organizing pneumonia. Her biologic treatment was ceased and corticosteroid treatment commenced, with resolution of both her symptoms and the radiological findings. Given the increasing...
Source: Dermatology Online Journal - Category: Dermatology Source Type: research
ConclusionIn patients with CRF it’s difficult to diagnose parathyroid carcinoma, because its presentation mimics the most common secondary hyperparathyroidism; the concomitant presence of metastases should lead us to suspect malignant parathyroid lesions.Surgery is the only effective therapy and therefore should be always performed.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
A female neonate was born with stridor and respiratory distress, which required intubation. Laryngoscopy and bronchoscopy revealed a large laryngeal mass that was soft and fluctuant on palpation. What is your diagnosis?
Source: JAMA Otolaryngology - Head and Neck Surgery - Category: ENT & OMF Source Type: research
We reported the first case of anterior tracheal transmural rupture and cartilage ring fracture after a combination of tracheobronchial interventional treatments for tracheobronchial tuberculosis (TBTB). Female and TBTB may be two high risks of trachea laceration. Tracheal rupture and/or cartilage ring fracture on the anterior trachea wall without pneumomediastinum or subcutaneous emphysema of TBTB patients may be best treated with a conservative approach. Tuberculosis (TB) tracheobronchial stenosis is considered as the worst complication of tracheobronchial TB (TBTB). Endobronchial balloon dilation (EBD) is a promising tre...
Source: Respirology Case Reports - Category: Respiratory Medicine Authors: Tags: Case Report Source Type: research
We report a rare case of tracheal granular cell tumours (GCT) presenting with throat discomfort as an initial symptom. While the symptom was atypical for a tracheal tumour, an early laryngoscopy and bronchoscopy led to the correct diagnosis. Granular cell tumours (GCTs) are a rare form of neoplasm found throughout the body. Tracheobronchial involvement is less common. We describe a case of tracheal GCT in a 37 ‐year‐old Japanese woman presenting with throat discomfort. A tracheal tumour was found during laryngoscopy for undefined throat discomfort. Bronchoscopy demonstrated a white sub‐epithelial solitary nodule on t...
Source: Respirology Case Reports - Category: Respiratory Medicine Authors: Tags: Case Report Source Type: research
Bronchoscopy is the standard of care for diagnosis and treatment of foreign body aspiration (FBA). Drawbacks of this approach include its invasiveness, the potential for exacerbation of reactive airway disease, and the need for general anesthesia. Computed tomography (CT) can potentially identify patients with FBA, thereby avoiding unnecessary bronchoscopies in patients with at-risk reactive airways.
Source: Journal of Pediatric Surgery - Category: Surgery Authors: Source Type: research
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Source: Thoracic Cancer - Category: Cancer & Oncology Authors: Tags: ORIGINAL ARTICLE Source Type: research
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Source: Current Opinion in Anaesthesiology - Category: Anesthesiology Tags: TECHNOLOGY, EDUCATION AND SAFETY: Edited by Stephan A. Loer Source Type: research
AbstractMicroaspiration of bacteriologically contaminated oropharyngeal secretions alongside the cuff of an endotracheal tube (ETT) is a key mechanism for development of ventilator-associated pneumonia. We have constructed a prototype double-cuffed ETT equipped with a supplemental port in-between the cuffs through which continuous positive airway pressure (CPAP) is delivered. Pressure in the intercuff space propels secretions upwards and produces 100% tracheal sealing in an in vitro model. We conducted a 24  h study to investigate the sealing effect of this ETT in 12 critically ill mechanically ventilated patients. Me...
Source: Journal of Anesthesia - Category: Anesthesiology Source Type: research
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